State Farm Mutual Automobile Insurance Company and State Farm Fire and Casualty Company v. Atlantic Medical & Diagnostic, P.C., Jonathan Landow, M.D., and Viviane Etienne, M.D.

District Court, E.D. New York·Decided April 29, 2026·No. 1:26-cv-01084·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK -----------------------------------------------------------------x STATE FARM MUTUAL AUTOMBILE INSURANCE COMPANY and STATE FARM FIRE AND CASAULTY COMPANY,

Plaintiffs, MEMORANDUM AND ORDER -against- 26-CV-1084 (OEM) (JAM)

ATLANTIC MEDICAL & DIAGNOSTIC, P.C., JONATHAN LANDOW, M.D., and VIVIANE ETIENNE, M.D.,

Defendants. -----------------------------------------------------------------x ORELIA E. MERCHANT, United States District Judge: On February 25, 2026, State Farm Mutual Automobile Insurance Company and State Farm Fire and Casualty Company (“Plaintiffs”) commenced this Racketeer Influenced and Corrupt Organization Act, 18 U.S.C. §§ 1962(c)-(d) (“RICO”), action against Atlantic Medical & Diagnostic, P.C. (“Atlantic”); Jonathan Landow, M.D.(“Landow”); and Viviane Etienne, M.D. (“Etienne”) (collectively, “Defendants”). See Complaint, Dkt. 1 (“Complaint” or “Compl.”). Plaintiffs allege that Defendants have engaged in a scheme to defraud them through New York’s no-fault insurance laws, N.Y. INS. LAW §§ 5101, et seq.; 11 N.Y.C.R.R. §§ 65, et seq. (“No-Fault”), and seek to recover more than $30 million in funds. Compl. at 1. Before the Court is Plaintiffs’ fully briefed motion for a preliminary injunction seeking a stay of all pending No-Fault arbitrations and lawsuits filed against them by Defendants, and an injunction enjoining Defendants from filing any new No-Fault arbitrations or lawsuits during the pendency of this action.1 For the following reasons, Plaintiffs’ Motion is granted.

1 See Memorandum of Law in Support of Plaintiffs’ Motion for Preliminary Injunction and Stay at 1, Dkt. 6 (“Motion” or “Mot.”); Defendants’ Memorandum of Law in Opposition to Plaintiffs’ Motion for Preliminary Injunction, Dkt. BACKGROUND A. New York’s No-Fault Statutory Framework Under New York’s Comprehensive Motor Vehicle Insurance Reparations Act and its implementing regulations, automobile insurers are required to provide No-Fault benefits to

insureds. See N.Y. INS. LAW §§ 5101 et seq.; 11 N.Y.C.R.R. §§ 65 et seq. The No-Fault laws provide compensation for “basic economic loss,” which covers “necessary” health expenses up to $50,000 per insured. N.Y. INS. LAW § 5102(a). A covered individual may assign these benefits to medical providers in exchange for their services, and medical providers may submit claims directly to insurance companies to receive payment. See 11 N.Y.C.R.R. § 65-3.11(a). Insurance companies must decide whether to pay within 30 days after receiving proof of a claim or else the claim becomes overdue. See id. § 65-3.8(a). Denied and overdue claims may be submitted to arbitration, where the claimant must provide “a detailed listing and calculation of all incurred expenses in dispute.” Id. § 65-4.2(b)(1)(i); see also N.Y. INS. LAW § 5106(b) (referring to the arbitrations as a “simplified” and “expedited” option for claim resolution). Under the No-Fault

framework, “[a]ny person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act.” N.Y. INS. LAW § 403(d). Medical providers are not eligible for reimbursement of No-Fault claims if they fail to meet New York State or local licensing requirements. See 11 N.Y.C.R.R. § 65-3.16(a)(12). Additionally, the No-Fault statutory framework prohibits providers from paying or receiving

22-6 (“Opposition” or “Opp’n”); Reply in Support of Plaintiffs’ Motion for Preliminary Injunction and Stay, Dkt. 23 (“Reply”). kickbacks in exchange for patient referrals or in connection with the performance of professional services. See N.Y. EDUC. LAW §§ 6530(11), (18)-(19). B. The Alleged Scheme Plaintiffs allege that Landow and Etienne operate Atlantic as a high-volume medical

practice “at more than 90 multi-disciplinary clinics . . . that cater to individuals purportedly injured in automobile accidents.” Compl. ¶ 2 (referring to these clinics as “No-Fault Clinic Mills”). At these No-Fault Clinic Mills, Plaintiffs contend that Atlantic conducts examinations that “are not legitimately performed to determine the true nature and extent of patient injuries, but rather are performed as a pretext to justify unnecessary treatment and services.” Id. Specifically, Plaintiffs assert that “Atlantic’s patient examinations generate referrals and prescriptions for other treatment and services which can be rendered and billed by other providers operating at or through the No- Fault Clinic Mills.” Id. ¶ 3. Plaintiffs further allege that Atlantic secures patients through improper quid pro quo arrangements with the No- Fault Clinic Mills where it operates. In particular, pursuant to written or verbal ‘lease’ and ‘service’ agreements, Atlantic makes kickback payments to the No- Fault Clinic Mills in exchange for patient referrals, which are disguised as ‘rent’ for the purported use of space and payments for office services. Id. The services rendered by Atlantic, as alleged by Plaintiffs, result in a predetermined course of treatment for virtually every patient, “regardless of their individual needs, conditions, or diagnoses.” Id. ¶ 5; see id. ¶ 3 (“The No-Fault Clinic Mills direct Atlantic on what [] to prescribe and where to send prescriptions for medications and other goods and services ordered for patients at each location.”); id ¶¶ 3-4 (discussing how the vast majority of patients receive trigger point injections (“TPIs”) and nerve block injections (“NBIs”; together with TPIs, “Injections”); topical medications such as lidocaine 5% ointment and diclofenac 3% gel (“Topical Prescription Drugs”); durable medical equipment (“DME”) and orthotics (together with DME, “Supplies”); and nerve conduction studies and electromyography tests (“NCV/EMG”)). Defendants then submit reimbursement claims to Plaintiffs, which Plaintiffs contend are for “excessive and medically unnecessary tests, goods, and services that [are] not compensable under New York law.” Id. ¶ 8. Plaintiffs allege that Defendants support this scheme by submitting bills and other supporting

documents falsely representing that the services rendered “were medically necessary and reimbursable when they were not.” Id. ¶ 9. Culminating the scheme, “Defendants routinely initiate litigation in state court and arbitrations if [Plaintiffs] deny or reduce Defendants’ claim for reimbursement.” Id. ¶ 10. Plaintiffs allege that, “[a]s of January 2026, Defendants have commenced more than 7,000 collection proceedings, including more than 5,200 arbitrations and over 2,100 suits in state court seeking reimbursement of No-Fault benefits from [Plaintiffs].” Id. Plaintiffs assert that they have incurred damages of over $6 million paid to Atlantic for its examinations, Injections, and related medications, and over “$24 million paid to other providers for Topical Prescription Drugs, Supplies, and EMG/NCVs prescribed, ordered, or referred by Atlantic based on arrangements with

or through the No-Fault Clinic Mills.” Id. ¶ 11. LEGAL STANDARD “[A] preliminary injunction is ‘an extraordinary remedy never awarded as of right.’” Benisek v. Lamone, 585 U.S. 155, 158 (2018) (quoting Winter v. Nat. Res. Def. Council, Inc., 555 U.S. 7, 24 (2008)).

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State Farm Mutual Automobile Insurance Company and State Farm Fire and Casualty Company v. Atlantic Medical & Diagnostic, P.C., Jonathan Landow, M.D., and Viviane Etienne, M.D., (E.D.N.Y. 2026).

State Farm Mutual Automobile Insurance Company and State Farm Fire and Casualty Company v. Atlantic Medical & Diagnostic, P.C., Jonathan Landow, M.D., and Viviane Etienne, M.D. (State Farm Mutual Automobile Insurance Company and State Farm Fire and Casualty Company v. Atlantic Medical & Diagnostic, P.C., Jonathan Landow, M.D., and Viviane Etienne, M.D.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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